Language：English   Publisher：Japan Journal of Nursing Science  

Aim: Amidst the COVID-19 pandemic, the association between organizational justice and psychological distress among hospital nursing staff is underexplored. Thus, this cross-sectional study, conducted in Fukuoka Prefecture, Japan, examined the relationship between organizational justice and serious psychological distress (SPD) among hospital nursing staff during COVID-19. Methods: The study surveyed 783 hospital nursing staff using the Organizational Justice Questionnaire and Effort-Reward Imbalance Questionnaire. The Kessler K6 scale was used to measure SPD. Sociodemographic and occupational characteristics were controlled for as potential confounders. Results: The prevalence of SPD was 14.4%, with a mean K6 score of 6.5. Moderate procedural justice (odds ratio [OR] = 2.38, 95% confidence interval [CI] = 1.14–4.94, p =.021) and low distributive justice (effort-reward imbalance) (OR = 3.66, 95% CI = 2.01–6.67, p <.001) were associated with SPD, even after adjustment for confounders. Interactional justice showed significance only in the crude model. Effort-reward imbalance had the strongest association with SPD. Conclusions: The findings showed that moderate procedural justice and low distributive justice were associated with SPD, highlighting the need for organizational interventions to address these factors. Imbalances in effort/reward had the greatest impact, highlighting the critical role of distributive justice in mental health. Thus, in the context of a pandemic, extreme procedural justice is not necessarily associated with mental health, and efforts to ensure distributive justice are critical to improving the mental health of hospital nursing staff. Moreover, organizational stressors should be addressed during disruptive conditions such as infectious disease outbreaks.

DOI： 10.1111/jjns.12595

Web of Science

Scopus

PubMed

Language：English   Publisher：(公社)日本看護科学学会  

COVID-19パンデミック期間中の病院看護スタッフにおいて、組織的公正と重度の精神的苦痛(SPD)との関連性について横断研究で調査した。2021年8月～10月までの期間内に、福岡県内で病床数300床以上の医療施設に勤務する看護スタッフのうち8施設から約5000例の看護スタッフを対象に、Organizational Justice Questionnaire and Effort-Reward Imbalance Questionnaireを用いて調査した。有効回答が得られた783例(男性44例、女性739例)のデータを用いてKessler K6スケールからSPDを調べ、社会人口学的および職業的特徴を潜在的交絡因子として調整した。その結果、SPDの有病率は14.4%で、K6スコアの平均は6.5スコアであり、中等度の手続き公正性と低い分配公正は交絡因子調節後もSPDと関連することが明らかにされた。また、相互作用公正性はcrudeモデルにのみ有意で、努力-報酬不均衡がSPDと最も強く関連していることが確認された。以上の調査結果から、中等度の手続き公正と低い分配的公正がSPDと関連することから、これらの因子に対処するためには組織的介入が必要と考えられた。

Language：English   Publishing type：Research paper (scientific journal)   Publisher：Children  

We aimed to identify the steps involved in the Kumagai method—an experimental nursing procedure to feed children with cleft lip and/or palate, using a feeder with a long nipple. We conducted a descriptive study, enrolling five specialist nurses who have mastered the Kumagai method. Their approaches were examined using structured interviews. Moreover, the participants were asked to perform the sequence of actions involved in this method while describing each step. Therefore, we were able to explore the Kumagai method in depth and step-by-step, including the following aspects: correct infant posture; correct feeding bottle holding position; nipple insertion into the child’s mouth; and feeding process initiation, maintenance, and termination. Each step comprises several clinically relevant aspects aimed at encouraging the infant to suck with a closed mouth and stimulating chokubo-zui, i.e., simulation of the natural tongue movement during breastfeeding in children without a cleft palate. In conclusion, when performed correctly, the Kumagai method improves feeding efficiency in children with cleft lip and/or palate. Feeders with long nipples are rarely used in clinical practice; the Kumagai method might popularize their use, thereby improving the management of feeding practices for children with cleft lip and/or palate.

DOI： 10.3390/children11030365

Web of Science

Scopus

PubMed

Language：Japanese   Publisher：Japanese Society of Child Health Nursing  

<p> This study aimed to understand the level of nursing support available to pediatric patients with cancer, and their families, when returning to school following discharge from a pediatric ward. An anonymous questionnaire survey was conducted. Participants included nurses who worked in pediatric wards and had experience caring for pediatric patients with cancer aged <15 years. Qualitative data were categorized into similar groups based on the inferred meaning obtained from the survey response of participants discussing problems in the support available to pediatric patients returning to school. A total of 136 participants were included in this study. Participant responses revealed that 32.4% of the nurses explained late complications to the children every time they were treated, which was the lowest among all items in the practice status. In addition, the following challenges were found regarding supporting pediatric patients with cancer returning to school: difficulty in enabling affected children and their families to view return to school positively; a paucity of information, system, and support from schools to ensure a smooth transition for these patients returning to school; and difficulty for medical professionals in providing continued support during the return-to-school period following patient hospitalization and their subsequent discharge. Although nurses provided the necessary supports for returning to school to the patient and family, they encountered some challenges. It is necessary to create a tool that can be used by all medical professionals involved in supporting pediatric patients with cancer returning to school to achieve seamless support.</p>

DOI： 10.20625/jschn.33_89

CiNii Research

Language：Japanese   Publisher：(公社)日本看護科学学会  

目的:小児病棟看護師が検査・処置時の看護において,子どもの権利擁護のために実践している看護実践プロセスを明らかにする.方法:小児病棟経験5年目以上の看護師20名に対し,子どもの権利擁護の場面について半構造化面接調査を行い,グラウンデッド・セオリー・アプローチを用いて分析した.結果:《子どもが検査・処置に取り組めそうかの見極め》をしながら【子どもが検査・処置になじめるケアの働きかけ】を行っていた.《恐怖心を減らす関わり》や《頑張ろうと揺れる気持ちを待つ》ようにし,子どもが納得して処置に取り組めるようになり[権利擁護できた関わり]となった.業務の都合や看護師の捉え方により[権利擁護できなかった関わり]となる場合もあった.結論:看護師は検査・処置時の状況を多角的に捉えて子どもができそうか見極め,子どもが主体的に検査・処置に取り組みなじめるように看護実践しているプロセスが明らかとなった.(著者抄録)

Language：Japanese   Publishing type：Research paper (scientific journal)  

DOI： https://doi.org/10.5630/jans.43.242

Language：Japanese   Publisher：Japan Academy of Nursing Science  

<p><b>Purpose:</b> To clarify how pediatric nurses recognize the protection of children’s rights during medical examinations and procedures and how they practice nursing for the protection of children’s rights.</p><p><b>Methods:</b> A semi-structured interview was conducted with 20 nurses with five years of experience regarding the practice of protecting children’s rights. Data were analyzed using the grounded theory approach.</p><p><b>Results:</b> The nurses “assessed whether the child was able to undergo the procedure”, and “encouraged care that the child would be comfortable with.” The nurses tried to “reduce the child’s fear” and “wait for the child’s wavering feelings of doing their best,” which led to “involvement that was able to protect the child’s rights.” In some cases, in which the nurses were not able to protect the child’s rights, depending on how the nurses view the situation.</p><p><b>Conclusion:</b> During nursing care, the nurses view the child and the situation from various perspectives and adjust to the environment; they respect the child’s independence while also pursuing their best interests and adjusting to the situation.</p>

DOI： 10.5630/jans.43.242

CiNii Research

Language：English   Publishing type：Research paper (scientific journal)  

Event date： 2023.3

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Event date： 2021.12

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Presentation type：Oral presentation (general)  

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